Frozen Grief: A Systematic Review of Ambiguous Loss Experiences

Gaylor, L, Southern, C, Levtova, Y and Ireland, J ORCID: 0000-0002-5117-5930 Frozen Grief: A Systematic Review of Ambiguous Loss Experiences. Mental Health and Social Inclusion. ISSN 2042-8308 (Accepted)

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Abstract

Purpose - This systematic review focused on the impacts of physical ambiguous loss and the coping strategies used to manage this. The review aims to contribute to a gap in the literature and identify areas where future research could progress.
Design/methodology/approach - Twenty-seven papers were identified. Findings were analysed using an integration of meta-ethnography and thematic analysis.
Findings - Impact themes generated included 1) pervasive anger and mistrust toward authorities, 2) the emotional rollercoaster of ambiguous loss, 3) somatic effects of ambiguous loss, 4) frozen grief, 5) social isolation and loneliness, 6) identity confusion, 7) counterfactual thinking, and 8) the dual role of work as a lifeline and obstacle. Coping strategy themes included 1) conducting independent research or investigation, 2) engaging in social activities and seeking support, 3) maintaining hope and faith, 4) grieving/religious rituals, and 5) avoiding thinking about it; 6) use of exercise, and 7) emotional management and acceptance.
Originality/value - The current review adds to an under-researched area, namely ambiguous loss. Research has been limited with neglect of formalised intervention. The review highlights how future studies would benefit from integration of relevant theories related to traumatic experiences and further application of research designs conducive to testing the effectiveness of intervention.

Item Type:	Article
Uncontrolled Keywords:	4203 Health services and systems
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Divisions:	Psychology (from Sep 2019)
Publisher:	Emerald
Date of acceptance:	30 July 2026
Date Deposited:	31 Jul 2026 14:51
Last Modified:	31 Jul 2026 14:51
URI:	https://researchonline.ljmu.ac.uk/id/eprint/29084

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